Individual
MAHTAB SOLEIMANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
15 WHITMAN RD, GREAT NECK, NY 11023-1827
(516) 851-0401
Mailing address
15 WHITMAN RD, GREAT NECK, NY 11023-1827
(516) 851-0401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009067-1
NY
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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